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CovEn PAGE <br /> Rec~,)ient Committee Type or print in Ink, <br /> Stamp <br />· Campaign Statement <br />Cover <br /> (Governmefll Code Sections 84200-84216.5) <br /> Statement covers period Date of eh~ction if applicabh <br /> <br /> 1. Type of Recipient Committee: AIIC?mmltlees-ComplelePadsl,2,3, and4. 2. Type of Statement: <br /> ~iceholder, Candidate Controlled Commillee ~ Ballot Measure Committee ~reelection ~ Quaderly <br /> Slalemenl <br /> Statement <br /> ~ State Candidate Election Committee ~ Primarily Formed ~ Semi-annual Statement ~ Special Odd-Year Repo~ <br /> ~ Recall ~ Controlled ~ Terminal[on Sta{emen{ ~ Supplemenial Preeleclion <br /> (AlsoC~p~tePa~5) ~ Sponsored ~ Amend~ent (Explain below) Statement - AUach Form 495 <br /> <br /> ~ General Purpose CommiSee <br /> ~ Sponsored ~ Primarily Formed Candidate/ <br /> Officeholder Commiaee <br /> <br /> O Political Party/Central Commillee <br /> <br /> 3. Committee Information I,.o. N~e ~/ Treasurer(s) <br /> <br /> 4. Verification <br /> ~ have used ell reascoeble diligence in preparing and reviowing this statement and to 1he best o! my know~ad§e the information contained herein and in the attached schedules is hue and complete. <br /> cedily under penalty of pa,jury under the laws of Ihe State of California that the foregoin/.~rue and correct. <br /> <br /> Execul~ on By <br /> <br /> Dy FPPC Form 460 <br /> FPPC TolI-Fcee Helpllne: 8661ASK-FPPC <br /> Slate of California <br /> <br /> <br />